Diseases Of Dental Pulp Question And Answers
Question 1. Write short note on pulp polyp.
Answer. It is also called as chronic hyperplastic pulpitis or pulpitis aperta.
- It is a productive pulpal inflammation due to an extensive carious exposure of young pulp.
- It is characterized by development of granulation tissue, covered at times by epithelium and resulting from longstanding low-grade infection.
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Pulp Polyp Etiology
- Slow progressive carious exposure of pulp.
- For development of hyperplastic pulp, a large open cavity, a young resistant pulp and a chronic low-grade stimulus.
- Mechanical irritation from chewing and bacterial infection often provides stimuli.
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Pulp Polyp Clinical Features
- Pulp polyp appears as small, pinkish, red lobulated mass, which protrudes from pulp chamber and fills up the carious cavity.
- The condition is seen in young adults and children.
- It commonly develops in deciduous molar and first permanent molars.
- The affected tooth has a large open carious cavity, which is present for long duration.
- The lesion bleeds profusely on provocation.
- The involved tooth is painless and is sensitive to thermal stimuli.
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Pulp Polyp Radiographic Features
It will show a large open cavity with direct access to pulp chamber.
Pulp Polyp Management
- Elimination of polypoid tissue, followed by extirpation of pulp.
- After removing hyperplastic tissues, bleeding can be controlled by pressure.
- Extraction of tooth can also be done.
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